Astrazeneca

FASENRA - Cost

Last Updated: April 1st, 2024

HCPCS:

J0517

HCPCS Code Descriptor:

Injection, benralizumab, 1 mg

Medicare Payment Limit:

The FASENRA Medicare Payment Limit is $165.247

Average Sale Price:

FASENRA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The FASENRA Medicare Co-insurance percentage is 20%. FASENRA's Medicare Co-insurance amount is $33.05 per HCPCS unit.

APC Code:

The Fasenra APC Code is: 9466

APC Payment Limit:

The APC Payment Limit for FASENRA is available. Login to view.

Fasenra Cost Information:

Fasenra's HCPCS code is J0517. It was added and became effective on January 1, 2019. Between January 2019 and January 2021, Fasenra's AWP underwent slight, steady price increases every six months. Starting in January 2021, the slight price increases became less frequent, now occurring about one per year. The WAC closely mirrors the AWP, with slight price increases every six months between January 2019 and January 2021, and then yearly price increases starting in February 2021. This has caused a growing divide between the WAC and the ASP. When Fasenra was first added, the ASP and the WAC were very close in price, within 2%. As the WAC increased, the ASP stayed stable and even decreased in some cases, resulting in a 15% difference as of March 2024.

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Fasenra’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Fasenra’s average wholesale price (AWP) information was last updated on:
January 1, 2024